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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Abnormal Platelet Count?

I had a mirena put in 2010, no problems until last mth had a light period this month very heavy bleeding. went to obgyn he states mirena might be embedded, tried to retreave it but string was too short. set up for surgery to have mirena removed and tubes tied. had pre-op blood work done then was called back later the same day & told to come back to hospital my platlet count was 6!!!! ended up having to have platlets and immune globulin count went up to 80 in 3 days, dismissed from hospital period was very light, started bleeding medium next day went back to hospital had blood work up platlets were at 110 told could go back home & follow up with hematologist on Thursday. very scared, what caused this?
posted on Sun, 3 Aug 2014
Twitter Thu, 4 Sep 2014 Answered on
Twitter Fri, 5 Sep 2014 Last reviewed on
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Platelet counts can be very low due to two mechanisms.
Destruction of platelets in peripheral blood or bone marrow or decreased production of megakaryocytes or platelet precursors in bone marrow are two common cause of decreased platelets counts.
The platelet count has recovered with platelet administration and immunoglobulin, however, this recovery may be temporary.
Viral infections are common cause of decreased platelets which recover with time.
Consultation with a hematologist is needed.

Thanks and take care
Dr Shailja P Wahal
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What Causes An Abnormal Platelet Count?

Hello and welcome to HCM, Platelet counts can be very low due to two mechanisms. Destruction of platelets in peripheral blood or bone marrow or decreased production of megakaryocytes or platelet precursors in bone marrow are two common cause of decreased platelets counts. The platelet count has recovered with platelet administration and immunoglobulin, however, this recovery may be temporary. Viral infections are common cause of decreased platelets which recover with time. Consultation with a hematologist is needed. Thanks and take care Dr Shailja P Wahal